Individual
DANIELLE L HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
361 HOSPITAL DR, EVERETT, PA 15537-7022
(814) 623-9712
(814) 623-9635
Mailing address
361 HOSPITAL DR, EVERETT, PA 15537-7022
(814) 623-9712
(814) 623-9635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055000
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391960
MEDICARE FQHC
PA
Enumeration date
09/13/2011
Last updated
07/13/2020
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